Pneumonia: Three common types


www.thedrnurse.com, Pneumonia pathopedia CV Pathopedia E-book available for purchase in The Dr. Nurse Shop! What is pneumonia? Inflammation and fluid within the ALVEOLI Pneumonia risk factors Decreased LOC Intubation with mechanical ventilation: At risk for ventilator associated pneumonia Ventilator bundle protocols are intended to prevent ventilator associated pneumonia Elderly Smoking Decreases the action of the cilia within your respiratory tract Chronic disease Diabetes, CHF, Chemo, Organ transplant recipients, COPD, anyone who is immunosuppressed for any reason Three main types of pneumonia Lobar pneumonia Most common type and easiest to treat It’s also called pneumococcal pneumonia Caused by a bacteria called Strep pneumoniae Rusty colored sputum is unique to this type of pneumonia WBC and RBC leak out of damaged alveolar capillaries and cause the rusty colored sputum Bronchial breath sounds are unique to this type of pneumonia Consolidation within a lobe acts as a sound magnifier You will hear deep, bronchial breath sounds where sound is magnified Consolidation on CXR Bronchopneumonia Most common cause is aspiration Multiple types of bacteria are aspirated Sputum will be yellow-green Interstitial pneumonia Most at risk are immunocompromised patients HIV, AIDS, Organ transplant recipients Cause is opportunistic fungus Pnuemocystitis Carinii (PCP) Non-productive cough is unique to interstitial pneumonia The fungus actually causes alveolar necrosis CXR will show ground glass appearance SUBSCRIBE www.thedrnurse.com Thanks for watching!!

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